Individual
GEORGIA MAE BRAZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 10TH ST, HOLLY HILL, FL 32117-3310
(386) 631-0602
(386) 624-7206
Mailing address
713 10TH ST, HOLLY HILL, FL 32117-3310
(386) 631-0602
(386) 624-7206
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
—
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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